Social media influencer Sydney Towle has shared a heartbreaking update about her ongoing battle with cholangiocarcinoma, a rare and aggressive form of bile duct cancer. The 26-year-old content creator recently revealed that the cancer has spread to her peritoneum - the lining of the abdomen and pelvis, while she continues treatment through an experimental clinical trial.

Towle, who was first diagnosed with cholangiocarcinoma at just 23 years old, updated her followers after spending several days in the hospital. In emotionalTikTokvideos, she appeared with a nasogastric (NG) tube and spoke openly about the physical and emotional challenges she has faced during treatment. Despite the progression of the disease, Towle maintained a hopeful outlook. “I know that it’s not great right now, but I still have hope,” she told her followers, adding that optimism continues to help her move forward through treatment.

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Cholangiocarcinoma, also commonly known as bile duct cancer, is a rare cancer that develops in the bile ducts, the thin tubes that carry bile from the liver and gallbladder to the small intestine. According to health experts, the disease is often difficult to detect early because symptoms may appear gradually or resemble other digestive disorders.

The cancer is considered aggressive because it is frequently diagnosed at an advanced stage after it has already spread to nearby organs or tissues.

The cancer is considered extremely aggressive as it frequently gets diagnosed at an advanced stage

Doctors say recognising symptoms early may improve treatment outcomes. Some common warning signs of cholangiocarcinoma include:

Towle recently revealed that doctors found cancer cells in her peritoneum, the membrane lining the abdominal cavity. This condition, known as peritoneal metastasis, occurs when cancer spreads beyond its original location.

She clarified that she did not have a bowel obstruction but admitted the development was “not good". Doctors say cancer spread to the peritoneum may cause symptoms such as abdominal swelling, pain or pressure, digestive discomfort, nausea, and changes in bowel movements.

Towle has also been documenting her participation in a specialised clinical trial aimed at helping her immune system fight the cancer. Earlier this year, doctors surgically removed part of one of her tumours so researchers could isolate immune cells in a laboratory. These cells are being grown and studied in hopes of developing a personalised cancer treatment.

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